Doctor Name: | GERALDINE BROWN |
NPI Number: | 1205915204 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHP |
License Number: | 1733 |
Business Practice Address: | 1007 W 14th St Mccook, NE - 690012413 |
Business Phone Number: | 3083452932 |
Business Fax Number: | |
Mailing Address: | 1007 W 14th St, MCCOOK |
State: | NE |
Postal Code: | 690012413 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1733 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |